HomeMy WebLinkAboutBuilding Permit 03-0651
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File I PERMIT NO
2. Pink City . /l ? - () (p S-J
3. Yellow Applicant ~
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(Please type or print and sil!.ll at bottom)
ADDRESS ZONING (office use)
LE<tAL DESCRlt'TlON (office use only)
C~ C
LOT. 1 BLOCK! ADDITION /yA/t..Jll7.,F'
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OWNER ,...,..
(Name) ..J a. (' If'l (
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(Address)
BUILDER I j
(Name)~~NfhlqNIV
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(Address) IFff .1'/;( ~ ~
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(Contact Name)
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TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
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(Phone)
(Phone)
(Phone)
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/P/V
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OPorch
OAddition
ORe-Roofing
o Fireplace
OAlteration
PROJECT COST IV ALUE (excluding land) $
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter uPLj property to 7::7;:;:.- /Y..>tf" S-/f}-o.,J
. ~ I/Signature Contractor's License No. Date
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$ sa, fir
$ 33.JJ
$ 110
$
$
$
$
$
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
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I Park Support Fee
I SAC
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
I Paid
I Date
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ORe-Siding
OUtility Connection
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$
$
$
$
$
$
$
$
$
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This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested_ This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence_ Before occupancy, a Certificate of Occupancy must be
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Planning Director Date Special Conditions, if any ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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DATE TIME
CITY OF PRIOR LAKE
1 _ !l.!- --..., /1.' '?_ -
INSPECTION NonCE SCHEDULED fP - ~ <.. ~
-
ADDRESS 5~:f ~J~-.(~
OWNER U CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
\dCORRECT ACTION AND PROCEED
~ CORRE[NORK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: J Owner/Contr:
CAL 4i7F JaR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
""
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
SITEADDRESS ~~~~~I!g ~
TYPE OF WORK fJEIA.J ~ AUI'rIO~
USE OF BUILDING ~ A ·
PERMIT NO. oJ,. 0(;, )" / DATE ISSUED ~2'-1D3
BUILDER WEAlSN\ANIJ He 1M€$' PHONE #~, -3/11- '''lZ.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
_ ~R DATE
FOOTING 'k) c.. I 11'/../ I 6--~
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,__ I I J
, FINAL I Ii ~ I &~~~ J
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850